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Affordable Care Act
Scope of Practice
Healthy Vision 2020
What's Our Policy?
Health Insurance Reform
While the ACA exchanges have brought about new insurance coverage opportunities for Texans, significant problems remain — and potential new ones are developing — with traditional health insurance companies and Texas’ workers’ compensation program.
The Truth About Balance Billing
A pair of newly developed TMA resources examine how insurance plans' network designs and payment decisions are leaving many Texans with "surprise bills" for health care services.
Under New Management An Interview With TDI's Newest Boss
The end of the 2013 session of the legislature marked the beginning of new leadership at the Texas Department of Insurance (TDI) as Gov. Rick Perry appointed Julia Rathgeber to the helm of the agency in late May. The Senate unanimously confirmed that appointment in June.
Keep Insurers Honest: TMA: Appeal Your Health Plan Rankings
In spring 2011, Aetna notified El Paso plastic surgeon Deborah Seelig, MD, it was dropping her from its Aexcel physician network for not meeting certain criteria under the network's physician-ranking program.
AMA: Bad Claims Payment Increasing
It's not your imagination. Most health insurers are getting worse at correctly paying physicians' claims, the American Medical Association says in its fourth annual
National Health Insurer Report Card
Texas Advocacy and Communications
2015 Legislative Testimonies and Letters
TMA physician leaders are working on behalf of their profession and their patients to improve Texas health care system. During the this legislative session, TMA councils and committees are locking down and promoting health care policies to ensure Texas’ patients have access to affordable and high quality health care. Read TMA’s testimonies, comments, and letters to state lawmakers.
ACA Exchange Plans: Q&A for Texas Physicians - Updated December 2014
Confused by all you've heard about the Affordable Care Act marketplace insurance plans? Do you know whether you're in — or out — of the narrow networks? How will you tell if a patient is on an exchange plan? What happens to you if patients don't make their premium payments? What, if anything, can you do about all of this? TMA answers these and other tough marketplace exchange questions.
Physicians Prepare for Round Two of the ACA Marketplace
Round two of the Affordable Care Act (ACA) health insurance marketplace launched with far less fanfare than last year's botched rollout. But even as physician practices do their part to adjust and help care for these newly insured, some of the same uncertainties linger. And with potentially new twists ahead, TMA officials once again remind physicians to be mindful in their business practices surrounding exchange plans.
TMA Healthy Vision 2020: Establish Fair and Transparent Insurance Markets
Read TMA’s legislative strategy and recommendation for 2015 and beyond.
TMA Develops Tooklit to Help You Challenge Unfair Rankings
Physician ranking (also known as physician tiering) has traditionally been a profiling methodology used by private insurance companies to steer patients toward lower-cost physicians.
83rd (2013) Legislative Victories
It took more than six years, but TMA and our state legislators never gave up. Now a new law regulating silent PPOs penalizes unethical third parties who steal and resell physicians’ discounted rates, for commercial and Medicaid contracts. Lawmakers also passed a prompt-pay law for Medicaid HMOs; no more low-pay, slow-pay, no-pay.
Physicians Earn More Than $2 Billion From RICO Settlement
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